Coronary sinus atrial pacing: radiographic considerations.

Journal Article (Journal Article)

Transvenous atrial pacing via an electrode placed in the coronary sinus has become an increasingly frequent procedure during the past 10 years for both diagnosis and therapy of cardiac arrhythmias. The coronary sinus has five major venous tributaries, any one of which can be entered by a pacing catheter. A catheter in the middle cardiac vein can mimic the usual ventricular pacemaker position, while an electrode in the coronary sinus or in a persistent left superior vena cava may be mistaken for myocardial perforation. A persistent left superior vena cava may also be catheterized. This anomaly is associated with a tenfold increased incidence of congenital atrioventricular conduction abnormalities and, therefore, is surprisingly common in patients having coronary sinus pacers placed because of cardiac arrhythmias.

Full Text

Duke Authors

Cited Authors

  • Hewitt, MJ; Chen, JT; Ravin, CE; Gallagher, JJ

Published Date

  • February 1, 1981

Published In

Volume / Issue

  • 136 / 2

Start / End Page

  • 323 - 328

PubMed ID

  • 6781254

International Standard Serial Number (ISSN)

  • 0361-803X

Digital Object Identifier (DOI)

  • 10.2214/ajr.136.2.323


  • eng

Conference Location

  • United States